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Chamberlain College of Nursing: NR302 Final Exam Study Guide / NR 302 Final Exam Review (Latest-2022) | Complete and Latest Guide | $15.49   Add to cart

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Chamberlain College of Nursing: NR302 Final Exam Study Guide / NR 302 Final Exam Review (Latest-2022) | Complete and Latest Guide |

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Chamberlain College of Nursing: NR302 Final Exam Study Guide / NR 302 Final Exam Review (Latest-2022) | Complete and Latest Guide |

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  • February 19, 2022
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  • 2021/2022
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,-Trachea

-Bronchi

-Bronchioles

-Alveolar Sacs

-Alveoli



Landmarks-Visualize what you cannot see!

-Anterior chest

-Suprasternal notch ―U shaped‖

-Sternum

-Sternal angle (Angle of Louis) continuous with 2nd rib

-Ribs & intercostals

-Costal angle (at xiphoid) 90 degrees



-Posterior chest

-Vertebra prominence C7

-Spinous processes T1 is 1st rib

-T3 separates upper and lower lobes

-Inferior border of the scapula 8th rib

-12th rib



Subjective Data

, -Difficulty breathing, sleeping, chest pain, cough and sputum (Rusty-TB), smoking history,

environmental exposure

TO calculate smoking pack-years

1. Multiple the number of cigarettes smoked per day by number of years smoked

2. Divide by 20

i.e 10 cigarettes smoked per day x 10 years / 20 = 5 pack years



Objective Data

-Inspection of patient: Resp. rate & effort to breathe (Nasal flaring, accessory muscles,

positioning) skin color, nails, configuration of chest (Chest deformities)

-Palpation of anterior and posterior chest: Tenderness, lumps, crepitus (Subcutaneous air-rice

krispis under skin), tactile fremitus (99), respiratory expansion

-Percussion of lung fields: Resonance, hyper-resonance, dull, diaphragmatic excursion

-Auscultation of chest: Normal, adventitious, voice sounds, measurements of pulmonary

function: For screening**Begin at the moment of contact



Normal breath sounds

-Bronchial (Tracheal) –Over trachea & larynx E>1

-Bronchovesicular—Over major bronchi I=E

-Vesicular—over peripheral lung fields I>E



Normal Assessment Findings

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